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General NPI Number Information
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NPI Number | 1306709316
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Entity Type | Organization
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Legal Business Name | ELIZABETH G. HODGE, MSP, CCC-SLP, PC
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Dates
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Enumeration Date | 12/05/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 3102 S CHURCH ST STE 102
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City | BURLINGTON
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State | NC
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Zip | 27215-9329
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Country | US
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Telephone | 980-522-7897
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Fax |
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Provider Business Mailing Address
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Address Line | 3188 TIMBERLYNE DR
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City | MEBANE
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State | NC
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Zip | 27302-8127
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ELIZABEH G HODGE
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Credential |
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Telephone | 980-522-7897
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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